Supplier
Wal-Mart Stores, INC
Wal-Mart Stores, INC was paid $20K by Medicaid between Aug 2019 and Oct 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 67% of everything it billed.
33Billing provider infoWAL-MART STORES, INC
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
33aNPI1326229253assigned 11/20/2007
33bProvider typeEyewear Supplier
28Total paid$20K
24GClaims555
24DCodes billed5
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers
Next to other Eyewear Supplier providers in Illinois
Rank by total paid#43 of 71
Median peer was paid$27K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 83 | $5K | |
| 2020 | 54 | $1K | |
| 2021 | 34 | $603.00 | |
| 2023 | 244 | $8K | |
| 2024incomplete | 140 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 67% | 394 | 368 | $13K |
| V2025 | Deluxe frame | 23% | 70 | 44 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.9% | 36 | 36 | $966.50 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.2% | 41 | 40 | $837.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 14 | 14 | $177.88 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSIMMONS, DAVID (NPI ASSOCIATE)
| Provider | Location | Paid |
|---|---|---|
| Community Health Centers of Burlington INC | Burlington, VT | $39.68M |
| Wal-Mart Stores East, L.P | Lewisburg, PA | $1.28M |
| Wal-Mart Stores East, LP | Warren, OH | $952K |
| Wal-Mart Stores East, LP | Lancaster, OH | $446K |
| Wal-Mart Stores East, L.P. | Franklin, OH | $301K |
| Wal-Mart Stores East, LP | Arbutus, MD | $287K |
| Wal-Mart Stores East, LP | Duncansville, PA | $227K |
| Wal-Mart Stores East, LP | Glen Burnie, MD | $214K |
| Wal-Mart Stores East, L.P. | Milford, OH | $169K |
| Wal-Mart Stores East, LP | Uniontown, PA | $162K |
| Wal-Mart Stores Texas, LP | Garland, TX | $159K |
| Wal-Mart Stores East, LP | Streetsboro, OH | $135K |
| Wal-Mart Stores East, LP | Dearborn, MI | $106K |
| Wal-Mart Stores East, L.P. | Warren, PA | $78K |
| Wal-Mart Stores East, L.P. | Tamaqua, PA | $58K |
| Wal-Mart Stores East, L.P. | Elizabethville, PA | $39K |
| Wal-Mart Stores INC. | Freeport, IL | $31K |
| Wal-Mart Stores East, LP | Monona, WI | $20K |
| Wal-Mart Stores East, LP | Bernalillo, NM | $16K |
| Wal-Mart Stores East, L.P. | Maryville, TN | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.